Winters Ryan, Saad Adam, Beahm Donald David, Wise Matthew Whitten, St Hilaire Hugo
Department of Otolaryngology-Head & Neck Surgery, Tulane University, New Orleans, Louisiana.
J Craniofac Surg. 2012 Sep;23(5):e405-7. doi: 10.1097/SCS.0b013e31825bd302.
Free fibula transfer has become the workhorse in mandibular reconstruction. Total mandibular reconstruction is an uncommon procedure with added complexity. Numerous techniques have been described for such reconstruction, many requiring a temporomandibular joint prosthesis. We present a novel method where simultaneous bilateral free fibula transfer utilizing preoperative virtual surgical planning was used to produce a total autogenous reconstruction. The virtual surgical planning allows to effectively quantify the bone stock required preoperatively and facilitates intraoperative modeling of the fibula. Therefore, a more anatomically correct reconstruction is obtained resulting in improved functional and aesthetic outcomes.
游离腓骨移植已成为下颌骨重建的主要方法。全下颌骨重建是一种不常见的手术，复杂性更高。已经描述了许多用于这种重建的技术，其中许多需要颞下颌关节假体。我们提出了一种新方法，即利用术前虚拟手术规划进行双侧游离腓骨同时移植，以实现全自体重建。虚拟手术规划能够有效地术前量化所需骨量，并便于术中对腓骨进行塑形。因此，可获得更符合解剖学的重建效果，从而改善功能和美观效果。
